Examining e-cigarette perspectives before and after the EVALI peak in cases

Alber, Julia M.; Conover, Sydney; Marts, Erika; Ganjooi, Kimiya; Grossman, Suzanne

doi:10.1016/j.addbeh.2021.106939

Cited by 4 publications

(4 citation statements)

References 16 publications

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“…However, the timing of those lower ratings corresponds to intense negative media coverage in 2019 associated with E-Cigarette, or Vaping, Product Use Associated Lung Injury (EVALI; 31, 32). Observing lower ratings after EVALI made headlines is consistent with findings from a study that compared perceptions of e-cigarettes from samples before and after EVALI made headlines (19) and a study that reports on less interests in using e-cigarettes among smokers who had heard about EVALI (33). Ratings across the studies appear to have rebounded after it was demonstrated that EVALI was primarily linked to vitamin E acetate added to certain THC containing vapor products rather than to nicotine ENDS products (34).…”

Section: Discussionsupporting

confidence: 85%

“…As part of its guidance, FDA recommends that ENDS manufacturers provide population-level estimates of behavioral intentions and product appeal of their products among both tobacco users and nonusers. Although there are several published reports in the tobacco literature about behavioral intentions (11)(12)(13)(14)(15)(16)(17) and product appeal (18)(19)(20)(21)(22)(23)(24), those reports do not provide population-level estimates that are critical to evaluating the impact of products on public health. The present work addresses this data gap.…”

Section: Resumementioning

confidence: 99%

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Purchase Intent and Appeal of ENDS Products among Current, Former and Never Ever Users of Tobacco Products in the U.S.

Frost-Pineda,

Chae,

Dianno

et al. 2023

Contributions to Tobacco &Amp; Nicotine Research

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SUMMARY Background and objectives The last decade has seen extensive research into electronic nicotine delivery systems (ENDS) such as e-cigarettes. Although some studies assess ENDS’ potential benefits, there is a paucity of studies that provide population-level estimates of purchase intent or product appeal among various tobacco user groups, or that have examined the impact of different product characteristics on those variables. Methods Purchase intent and product appeal ratings were analyzed from six online studies for multiple sub-brands of Vuse vapor products (including different flavors, nicotine levels, and device styles). The sample in each study was weighted to represent the adult U.S. population of current established, former established, and never established cigarette smokers on five key demographics; providing population-level estimates. Results Results for purchase intent and appeal are remarkably consistent. Ratings of purchase intent and appeal are higher for current tobacco users (current established cigarette smokers, current established non-cigarette tobacco users, and current tobacco experimenters) than for former and never ever tobacco users. Conclusions and scientific significance These findings show that varying sub-brands of an e-cigarette has little or no impact on population level purchase intent and appeal ratings across tobacco user groups. Additionally, greater variability in ratings among current tobacco experimenters than other tobacco user groups is discussed as well as correlations between measures. This paper provides the first population estimates of both purchase intent and product appeal for various ENDS products among adult tobacco users and nonusers; information that is critical for evaluating the impact on public health. [Contrib. Tob. Nicotine Res. 32 (2023) 34–42]

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Section: Discussionsupporting

confidence: 85%

Section: Resumementioning

confidence: 99%

Purchase Intent and Appeal of ENDS Products among Current, Former and Never Ever Users of Tobacco Products in the U.S.

Frost-Pineda,

Chae,

Dianno

et al. 2023

Contributions to Tobacco &Amp; Nicotine Research

View full text Add to dashboard Cite

show abstract

“…This study is limited by a small sample, and although not uncommon for qualitative research, generalizability may be limited. Data were collected in fall 2018, before widespread media attention about e-cigarette or vaping product use-associated lung injury (EVALI), which could alter smokers' perceptions of ENDS [58]. By nature of our inclusion criteria (current dual users), people who already quit smoking by using ENDS were excluded.…”

Section: Discussionmentioning

confidence: 99%

“When I Don’t Have a Cigarette It’s Helpful, but It Really Don’t Satisfy:” Qualitative Study of Electronic Nicotine Delivery Systems (ENDS) Use among Low-Income Smokers

Spears

Jones

Cottrell-Daniels

et al. 2022

IJERPH

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Background: Little is known about the use of electronic nicotine delivery systems (ENDS) among low-income adult cigarette smokers, who experience severe tobacco-related health disparities. Methods: This study conducted interviews to examine experiences and perceptions associated with ENDS use among predominantly low-income adult smokers (n = 30; mean age 30.2 ± 12.9; 60% male, 46.7% African American, 30% white, 10% more than one race; 76.7% annual household income ≤USD 24,000). Interviews were transcribed verbatim and coded in NVivo 11. Results: Overall, participants reported complementing rather than substituting their smoking with ENDS use (e.g., using ENDS only when smoking is not allowed). Predominant reasons for vaping were convenience, smoking reduction/cessation, stress management, social acceptability, lower long-term costs than smoking, and appealing flavors. Common reasons for not switching to exclusive vaping were that ENDS did not satisfy cigarette cravings and concerns about ENDS health effects. Participants indicated higher likelihood of switching to exclusive ENDS use if the products were more affordable, perceived as substantially less harmful, tasted and felt more like smoking a cigarette, and more effective for reducing cravings. Conclusions: Continued research is needed to maximize any harm reduction potential of ENDS and ensure that these products do not contribute to worsening health disparities.

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“…These results indicate that smoking-related beliefs and behaviors continue to have a major role in the Hispanic community that need to be further examined according to the risks correlated by different ethnic subgroups. Given the increasing evidence linking e-cigarettes to cancer outcomes, as well e-cigarette or vaping product use-associated lung injury (EVALI), significant attention should be paid to reducing e-cigarette initiation among Hispanics, in particular, young adults [ 40 , 41 , 42 ]. While the prevalence of smoking at large continues to decline, it is an important public health responsibility for future studies, medical professionals, and health interventions to acknowledge these differences among Hispanic subpopulations.…”

Section: Discussionmentioning

confidence: 99%

Perceptions and Patterns of Cigarette and E-Cigarette Use among Hispanics: A Heterogeneity Analysis of the 2017–2019 Health Information National Trends Survey

Cardona

Calixte

Rivera

et al. 2021

IJERPH

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There are documented disparities in smoking behaviors among Hispanic adults in the U.S., but little is known about patterns of e-cigarette use. Using data from the HINTS 5 cycle 1–3, we examined cigarette and e-cigarette history and current use, as well as perceptions of the dangers of e-cigarette use relative to cigarette use. Primary predictors were Hispanic ethnic group, gender, age, education, income, and English language proficiency. Binary outcomes were modeled using the logit link, and multinomial outcome variables were modeled using generalized logit model. Fifty-three percent of participants were Mexican, 8% Puerto Rican, 4% were Cuban, and 35% identified as other Hispanics. Of the 1618 respondents, 23% were former cigarette smokers and 10% were current cigarette smokers. Twenty percent reported history of electronic cigarettes and 4% reported current use. In multivariable models, Hispanic women were significantly less likely to report ever being smokers compared to Hispanic men (aOR = 0.61, 95% CI = 0.42, 0.88). Puerto Ricans were 2.4 times as likely to report being current smokers (95% CI = 1.11, 5.11) compared to Mexicans. Among Hispanics, significant differences in e-cigarette and cigarette use behaviors emerged by gender, age, ethnicity, and cancer history, with implications for tailoring smoking prevention and cessation messages.

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Examining e-cigarette perspectives before and after the EVALI peak in cases

Cited by 4 publications

References 16 publications

Purchase Intent and Appeal of ENDS Products among Current, Former and Never Ever Users of Tobacco Products in the U.S.

Purchase Intent and Appeal of ENDS Products among Current, Former and Never Ever Users of Tobacco Products in the U.S.

“When I Don’t Have a Cigarette It’s Helpful, but It Really Don’t Satisfy:” Qualitative Study of Electronic Nicotine Delivery Systems (ENDS) Use among Low-Income Smokers

Perceptions and Patterns of Cigarette and E-Cigarette Use among Hispanics: A Heterogeneity Analysis of the 2017–2019 Health Information National Trends Survey

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